Organization
R FELLDIN LCSW-R CLINICAL SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN FELLDIN LCSW-R (OWNER)
(607) 639-1215
Entity
Organization
Contact information
Practice address
205 ALGERINE ST, AFTON, NY 13730-2203
(607) 639-1215
Mailing address
205 ALGERINE ST, AFTON, NY 13730-2203
(607) 639-1215
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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